Active NPI
Mark G Castor, DMD, PA
- General Practice Dentistry
- Cary, NC
National Provider Identifier
1780615476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6103
- Practice address
- 140 Preston Executive Dr
Suite 200
Cary, NC 27513-8488 - Phone
- (919) 467-6111
- Fax
- (919) 380-0088
- NPI assigned
- Jul 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6103 | NC | Primary |
Addresses
Primary practice location
140 Preston Executive Dr
Suite 200
Cary, NC 27513-8488
Mailing address
140 Preston Executive Dr
Suite 200
Cary, NC 27513-8488
Phone (919) 467-6111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8991437 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6103 | NC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark G. Castor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780615476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 PRESTON EXECUTIVE DR",
"address_2": "SUITE 200",
"city": "CARY",
"state": "NC",
"postal_code": "275138488",
"telephone_number": "919-467-6111",
"fax_number": "919-380-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 PRESTON EXECUTIVE DR",
"address_2": "SUITE 200",
"city": "CARY",
"state": "NC",
"postal_code": "275138488",
"telephone_number": "919-467-6111",
"fax_number": "919-380-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTOR",
"first_name": "MARK",
"middle_name": "G",
"credential": "DMD, PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8991437",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.